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Posterior ankle impingement — MRCPCH AKP MCQ

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ModeratePaediatric SportPosterior ankle impingementMRCPCH AKP

A 17-year-old ballet dancer has posterior ankle pain from os trigonum impingement. Symptoms are controlled after rehabilitation and she wants to resume pointe work. What is the most appropriate return-to-play decision?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Progress pointe work gradually if strength, range and symptom response are acceptable

Return in dancers should match the specific demands of pointe work, including plantar-flexion control and calf endurance. Symptoms should be monitored during and after progression. A rapid volume spike can re-aggravate posterior impingement.

Reference: Brukner & Khan; FSEM